ESTEBAN E ESCANUELA

SAN ANGELO, TX
NPI1275838153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: TX  083226)
Enumeration Date2011-01-24
Last Update Date2011-01-24
Business Address
MR. ESTEBAN E ESCANUELA EIS-FQP
612 S IRENE ST
SAN ANGELO, TX 76903-6629
Phone number: 325-658-6571
Mailing Address
MR. ESTEBAN E ESCANUELA EIS-FQP
PO BOX 5199
SAN ANGELO, TX 76902-5199
Phone number:
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